Individual
GARY M. KUPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 RESERVOIR RD NW FL 1, WASHINGTON, DC 20007-2113
(202) 444-7599
(202) 444-3713
Mailing address
3800 RESERVOIR RD NW FL 1, WASHINGTON, DC 20007-2113
(202) 444-7599
(202) 444-3713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101058469
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD048040
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006728391
—
VA
Enumeration date
11/07/2006
Last updated
04/21/2021
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